What is your vision for the future of nursing? How does your vision fit with the recommendations in the IOM report? What two action steps do you plan to take to promote this vision?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points
All replies must be constructive and use literature where possible.
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
Explain the process of writing prescriptions, including strategies to minimize medication errors.
Introduction and conclusion
AC is a 72-year-old male who is admitted to your ICU after suffering a massive stroke that has left him unresponsive and unable to communicate. He is currently on a ventilator. It was discovered that the stroke was the result of a medication error. His wife of 48 years is available along with their one adult daughter. The wife informs you that they don’t have any advanced directives, but she is “pretty sure her husband would not want to live like this.” However, their daughter is adamant her dad would want to be kept alive in case there is any chance to come out of thi
Current issues and trends in counseling
How can an understanding of current issues and trends in the field of marriage, family and relationship counseling contribute to a counselor’s ability to effectively address the various challenges facing families and relationships today? Please provide examples of specific challenges and explain how staying informed about trends can inform counseling strategies.
Case Study: Depression
A 32-year-old female presents to the clinic with a long-standing history of depression. She describes episodic anergia, amotivation, low mood, hypersomnolence, anhedonia, impaired concentration, occasional passive suicidal thoughts, and death preoccupation. These episodes last approximately 2-3 weeks with no apparent provocation. At times, she describes experiencing hyperactivity and difficulty with sleep initiation, sometimes going a period of time without requiring sleep. These episodes have not occurred in a long time, and she has been feeling depressed for the past 3.5 weeks. Medical workups, including thyroid testing and an anemia panel, are unremarkable.
Questions:
What are a few key differential diagnosis considerations for this patient? How could you clarify the diagnosis?
What would you prescribe as part of the initial plan of care? What would you do if this first choice is ineffective?
What should be incorporated into this patient’s monitoring and follow-up plan?
What medication-related teaching should be incorporated based on your plan of care?
Select Drug and Dosage (as written on prescription e.g. bid) MSN.E1. P1.L
Analyzes Biochemical Process MSN.E8.P1.H
Evaluates Cost MSN.E1. P3.L
Evaluates Ethical /Cultural Implications MSN.E1. P4.L
Identifies Adverse drug reactions MSN.E1.P4.L
Identifies (check if there is not an adverse reaction) interactions with other medications MSN.E1.P4.L
Initial Post
By Wednesday, for your initial post, review the assigned case study and post your response on the discussion board. Use the attached document or make a copy of the SOAPNote google doc template Links to an external site.to create your response to post.
Use APA formatting for any references and ensure references are five years or newer.
SOAPNote Template.docx
QUESTION 2
Outcome Alignment
Analyze current and emerging evidence regarding social determinants in providing advanced nursing care to individuals, families, and communities while accounting for patient values and clinical judgment.
Assignment Overview
Submit a list of evidence-based scholarly references you will use for your literature review with brief annotations. Minimum of four.
Instructions
Avoid websites that are patient-focused/non-peer-reviewed. Statements such as “ask your doctor” relates to patient education/information. WebMD and Wikipedia are examples
Up to Date and Medscape are appropriate websites. Search engines such as pub med or CINAHL also work well.
https://libguides.husson.edu/nursingLinks to an external site.
APA format
Deliverables
Submit a list of evidence-based scholarly references you will use for your literature review with brief annotations. Minimum of four.
Rubric
Literature Review
Literature Review
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeSubmit a literature reviewMSN.E1. P1.L Analyze current and emerging evidence regarding social determinants in providing advanced nursing care to individuals, families, and communities while accounting for patient values and clinical judgment.
10 ptsExemplary
Provides a minimum of four resources that are scholarly, up-to-date, and at a graduate level.
8 ptsProficient
References are scholarly but may be greater than five years old
6 ptsDeveloping
References are not from scholarly resources or are outdated.
0 ptsEmerging
References are not appropriate
10 pts
Discuss the purpose of strategic planning in a health care environment. Explain what factors affect future planning in an organization and what tools can be used for future planning.
WEEK 4 DISCUSSION- 600 WORDS
This assignment aligns with the course and module learning objectives (CO 1, CO2).
1. Describe the elements of a clinical needs assessment. How can this apply to your scholarly project?
2. How are ethical principles applied with the Institutional Review Board (IRB) process? When is informed consent necessary?
Please use the attached Lecture Materials ATTACHED and other outside resources to complete this assignment
(I need this in 600 WORDS)
Pharmacokinetic actions are mediated through the hepatic and gut drug-metabolizing system known as the cytochrome P540 (CYP) enzyme system.
Please answer the following questions, assigned by the first letter of your last name. Select psychiatric medications that you would likely prescribe or encounter frequently in your practice. Include at least two references other than Stahl in your answers. Also, please write two test questions covering the information in your initial post.
Last Name H–O: State what the CYP 3A4 enzyme is, why it is important, and what it does in the body. List common medications, foods, herbs, and/or substances that inhibit and induce this enzyme; include any major substrates (specifically psychiatric drugs you would encounter) and any important medication restrictions regarding this enzyme.
This week, practice identifying changing criterion design studies and analyzing the conclusions of made in the study. Choose one of the following choices to respond to. You do not need to respond to all of them.
Review the Cook et al. (2015) article, “Differential Negative Reinforcement of Other Behavior to Increase Wearing of a Medical Bracelet.” Briefly describe the design that was used. Review the graphs and give a visual analysis (trend, level, variability). Was a functional relationship demonstrated? Why or why not? What recommendations would you make to improve the design?
Review the Kurti and Dallery (2013) article, “Internet-Based Contingency Management Increases Walking in Sedentary Adults.” Briefly describe the design that was used. Review the graph for either experiment one or experiment two and give a visual analysis (trend, level, variability). Was a functional relationship demonstrated? Why or why not? What recommendations would you make to improve the design?
Identify an article of your choice using a changing criterion design. Review the graphs and give a visual analysis (tend, level, variability). Was a functional relationship demonstrated? Why or why not? What recommendations would you make to improve the design?
Post a descriiption of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.
Students will identify and evaluate nurses’ safety measures when administering medications at a specific healthcare facility. Each student will also evaluate an EHR system’s safety measures at one healthcare facility. Students will prepare a Powerpoint to present details of the assignments in no more than 10-15 minutes. Students should follow the assignment rubric the instructor provided to complete the assignment.
Please use the power point I attached as a template. Humpty
Dumpty is irrelevant and be more specific in the nurses’ safety measures when administering medications and the EHR system’s safety measures. Rubrics: Nurse Practice and EHR Assignment
Nurse Practice and EHR Assignment
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeOverview of hospital, bed, capacity and services
10 ptsProficient
Identifies and demonstrates a sophisticated understanding of the overview of the hospital, including history, bed capacity, services, etc.
5 ptsDeveloping Proficiency
Identifies and demonstrates an accomplished understanding of the overview of the hospital, including history, bed capacity, services, etc.
2 ptsInadequate
Identifies and demonstrates acceptable understanding of the overview of the hospital, including history, bed capacity, services, etc.
0 ptsNo Marks
10 pts
This criterion is linked to a Learning OutcomeDescription of Safety Measures Used by Nurses When Administering Medications
30 ptsProficient
Presents an insightful and thorough analysis of all Safety Measures Used by Nurses When Administering Medications
20 ptsDeveloping Proficiency
Presents a thorough analysis of most of the Safety Measures Used by Nurses When Administering Medications. Uses weak evidence to support the rationale.
15 ptsInadequate
Presents a superficial or incomplete analysis of some of the Safety Measures Used by Nurses When Administering Medications
0 ptsNo Marks
30 pts
This criterion is linked to a Learning OutcomeDescription of Safety Measures Used Within an EHR System
30 ptsProficient
Presents an insightful and thorough analysis of all Safety Measures Used Within an EHR System.
20 ptsDeveloping Proficiency
Presents a thorough analysis of most of the safety measures used within an EHR system for a specific healthcare facility.
15 ptsInadequate
Presents little/no detail on the safety measures used within an EHR system for a specific healthcare facility.
0 ptsNo Marks
30 pts
This criterion is linked to a Learning OutcomeEvaluation of Safety Measures Used by Nurses and Within an EHR System
20 ptsProficient
Makes appropriate and powerful connections that evaluate the safety measures used by nurses and within an EHR system and share recommendations with nurse leader
15 ptsDeveloping Proficiency
Makes appropriate but somewhat vague connections that evaluate the safety measures used by nurses and within an EHR system and share recommendations with nurse leader.
10 ptsInadequate
Limited Evaluation and research of the safety measures used by nurses and within an EHR system and share recommendations with nurse leader.
0 ptsNo Marks
20 pts
This criterion is linked to a Learning OutcomePresentation/Writing Mechanics and Formatting Guidelines
10 ptsProficient
Demonstrates clarity, conciseness and correctness; formatting is appropriate and writing is free of grammar and spelling errors. Uses APA 7th ed. Correctly for citations and references.
8 ptsDeveloping Proficiency
Occasional grammar or spelling errors, but still a clear presentation of ideas; lacks organization. Uses APA 7th ed. Correctly for citations and references with minor issues.
5 ptsInadequate
Writing is unfocused, rambling, or contains serious errors; poorly organized and does not follow specified guidelines. Does no adhere to APA 7th ed. Guidelines.
0 ptsNo Marks
10 pts
Total Points: 100
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